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Release Date:     4/04/2015
Expiration Date:  5/01/2018





Jules H. Sumkin, DO, FACR
Professor & Chair, Dept. of Radiology
University of Pittsburgh School of Medicine
Endowed Chair, Women's Imaging:

    Magee-Women's Hospital
University of Pittsburgh Medical Center


Margarita L. Zuley, MD
Professor, Dept. of Radiology
University of Pittsburgh School of Medicine
Vice Chair; Medical Director, Breast Imaging:
   Magee-Women's Hospital
University of Pittsburgh Medical Center



Equipment Requirements
PC: Win7/Win8, Pentium processor or faster, at least 2GB RAM, Internet Explorer version 10/11, Mozilla FireFox version 33.0.

MAC: OS version 10.8/10.9, Intel processor, at least 2GB RAM, Safari version 6.2, FireFox 33.0



3D Breast Biopsy with Tomosynthesis
How? When? Why? ARCHIVE


Recording of a live webinar presented on March 3, 2015


A certified one-hour archived webinar for radiologists, radiologic technologists, and other healthcare professionals who care for patients with breast disease

Format: Archived Webinar
Credit:  1.0 AMA PRA Category 1
Credit:  1.0 ARRT Category A
Fee for Credit Certificate: $0


Course Overview
The practice of breast imaging has been transformational, propelling this specialty from direct-exposure techniques in the 1960s to today’s full-field digital mammography and digital breast tomosynthesis. Additionally, federal regulations based on MQSA and the growing number of states adopting Breast Density Notification Laws have helped shape the specialty of breast imaging.

With the growing adoption of digital breast tomosynthesis (3D Mammography), additional algorithms for screening and diagnostic workup of high-risk women have emerged, and interventional procedures under tomosynthesis guidance are being incorporated into daily practice. Using case examples, this webinar addresses the challenges presented by 3D Mammography and tomosynthesis-directed biopsy; how to safely and effectively perform 3D breast biopsy with tomosynthesis; the potential complications and challenges of 3D breast biopsy with tomosynthesis; and comparison of upright and prone biopsy techniques.

Educational Objectives
At the conclusion of this activity, participants should be better able to:

  • Describe how the addition of 3D mammography to current practice can introduce new challenges that can be solved with tomosynthesis-directed biopsy
  • Explain the mechanics of 3D-guided biopsy with tomosynthesis and how to safely and effectively sample the lesion(s) of interest
  • Discuss potential complications and challenges of 3D-guided biopsy and compare upright tomosynthesis-directed biopsy to prone techniques

ACCME Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine and International Center for Postgraduate Medical Education. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SA-CME: This activity meets the criteria for self-assessment toward the purpose of fulfilling requirements in the American Board of Radiology (ABR) Maintenance of Certification Program.

The European Accreditation Council for CME (EACCME®)
The UEMS-EACCME® has mutual recognition agreements with the American Medical Association (AMA) for live events and e-learning materials. For more information go to

Radiologic Technologists
This program has been approved by the American Society of Radiologic Technologists (ASRT) for 1.0 hour of ARRT Category A continuing education credit.

How to Enroll and Participate
There are no fees or prerequisites to participate in this program. Estimated time to complete this activity is one hour.

  • Click on the blue link. Complete the precourse questions and SUBMIT.
  • Click on the blue link again to view the recording.

How to Receive a Credit Certificate
Your certificate of credit will remain in your account at as a permanent record of your participation.

  • Log-in to your account at
  • View the entire educational activity session. At the conclusion of the lecture, close the Vimeo window.
  • Return to the course in your account at
  • From the COURSE HOME page, click the button for POSTTEST and for EVALUATION.
  • A passing grade of at least 75% is required to receive credit. You may take the test up to three times.
  • Upon receipt of a passing grade, you will be able to print a certificate of credit from your account at

Your certificate of credit will remain in your account at as a permanent record of your participation.


Jules H. Sumkin, DO, FACR
Dr. Sumkin is Professor and Chair of The Department of Radiology at the University of Pittsburgh School of Medicine and Endowed Chair of Women’s Imaging at Magee-Women’s Hospital at the University of Pittsburgh School of Medical Center.

Dr. Sumkin completed his bachelor’s degree at the University of Michigan and received his medical degree in osteopathy at Ohio University. His internship was served at Doctor’s Hospital in Columbus, OH, and residency completed at UPMC.

Professional memberships include the American Roentgen Ray Society, Society of Breast Imaging, and Radiological Society of North America. Dr. Sumkin is well-published, with articles appearing in Radiology, Medical Physics, American Journal of Roentgenology, and Journal of Surgical Oncology. He serves on the editorial board of Reports in Medical Imaging and on the international editorial board of Journal of Breast Health.

Margarita L. Zuley, MD
Dr. Zuley is Professor of Radiology at the University of Pittsburgh Medical School, as well as Vice Chair, Quality and Strategic Development and Medical Director of Breast Imaging at Magee-Women’s Hospital of the University of Pittsburgh Medical Center. She completed her residency and fellowship at UPMC and Magee-Women’s Hospital.

Dr. Zuley sits on several committees for the American College of Radiology, the American Board of Radiology, and the Society of Breast Imaging. She also serves as a reviewer for NIH grants and as a consultant to the FDA Radiologic Devices Panel.

Active areas of research include new technology evaluation, including digital breast tomosynthesis and cone-beam CT. Dr. Zuley is currently the principal investigator on grants from the Susan G. Komen Foundation and from industry to investigate these new technologies.

Disclosure Information
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. The existence or absence of COI for anyone in a position to control content will be disclosed to participants prior to the start of each activity.

Jules H. Sumkin, DO, FACR has provided contracted research for Hologic, Inc.
Margarita L. Zuley, MD, has provided contracted research for Hologic, Inc.

The following planners and managers have reported NO financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Sharon Cancino 
Trace Hutchison, PharmD
Samantha Mattiucci, PharmD, CCMEP
Linda McLean, MS 
Judi Smelker-Mitchek, RN, BSN

Victoria Phoenix, BS           
Jan Schultz, RN, MSN, CCMEP                         

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. 

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

For questions regarding this program, please contact ICPME:
Phone: 607-257-5860 X10

Jointly provided by


This activity is supported by an independent grant from Hologic, Inc.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.